369342 (GRD)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD m1i
13693421 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
GeF��,i
UNITS
IST FL. SQ. FT. @
Dist.
Oyfff..
2ND. FL. SQ. FT. @
MH.Permit Fee $
Micro Film Fee
YARD SPKLR SYSTEM
k +"/ ��"
,
MOBILEHOME SVC.
BAR SINK
�
POR. SQ. FT. @
-•"
Set Backs
Lot Size�7
�
r
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
7<r~
Electrical Fee Dbl f
Zone Restrictions
!'�f /
/
Group y
p1 3
Type
r N
SMI Fee iA
DRAINAGE PIPING
CAR P. SQ. FT. @
Bond Amt.
Plan No.
�w.J
Plaecke c - _
WALL SQ. FT. @
Inspector
DRINKING FOUNTAIN
SQ. FT. @
Demol. Fee
$
URINAL
+y
ESTIMATED CONSTRUCTION VALUATION $ 30 GYe p bA
WATER PIPING
NOTE: Not to be used as property tax valuation
Mileage Fee
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
$
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Zip
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Address
�v L� (/4';. E L
City Zip
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
�,
Contractor
LAUNDRY TRAY
AIR HANDLING UNIT CFM
License#
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Address
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
\ SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
I
PERMIT NO.
369342
Job Address Space
7S
Zip
Owner
Community
_
Valuation
Date
�v7
Dist.
Oyfff..
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
�I'✓h f"+r�/j�r"iV�'i �G yi-
Parcel No.
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size�7
Construction Fee Dbl f
Legal Description
7f .� t f-7
F� S
S
Electrical Fee Dbl f
Zone Restrictions
!'�f /
/
Group y
p1 3
Type
r N
SMI Fee iA
Plumbing .fee
Dbl $
Bond Amt.
Plan No.
�w.J
Plaecke c - _
Final Date
19 —1--/
Inspector
Unit
Sp. Insp. Fee
Demol. Fee
$
Const. Lender Branch
t
Supple�flrmit Numbers
Registr. Fee $
Mileage Fee
Address � / •, /� Zip
Witness•Fee =
Reinsp. Fee
$
Owner/Agent
'1j �t rr/9r
Tel.
Zip
Total Fees
$ ,,
Address
�v L� (/4';. E L
City Zip
M.O. N.C. Cash Checkr
Received by
�,
Contractor
Tel.
License#
Trees required
Sewage System
Address
CityZip
I. T LL P
Sewer District
k
Form 284208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE QF CALIFORNIA. 1r
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION IDATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS'
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34 Plenums & Ducts•
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets 8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
b
Roof Deck
39
Appl. Clearance
7
Framing
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
10A
Fireplace T.O. ❑
P'
ADDITIONAL INFORMATION
T `
SEWAGE: SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
•12B Ceiling (Batts)
.-12C7 Ceiling (Blown)
14 Final
PLUMBING APPROVALS .
15' Ground Plumb
16 Water Piping
17 --Rough Plumb t
18' Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L. Line
•
PSL
REAR OF PROPERTY LINE
ELECTRICAk, APPROVALS
P/
26 Power Pole
27 Conduit \
28 Service Entrance
29 ' Wiring
29A Grounding Wire
29B Bonding
36 Fixtures
31 Service
32 Final
STREET NAME '
BUILDING PERMIT
PERMIT NO.
369342
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE osr
��
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Owner
,� ai,a5
GME
UNITS
IST FL. SQ. FT. @
Date
Dist.
2ND. FL. SQ. FT. @
F.C.C.
MH Permit Fee $
YARD SPKLR SYSTEM
�
t/
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
By`
��.i
Mech. Fee Dbl f
Pi. Ck. Fee f
11446�As
Lot Sizes,��
POWER OUTLET
ROOF DRAINS
GAR.SQ. FT. @
� S S
R j J
Electrical Fee Dbl f
CAR P. SQ. FT. @
Group
./13'
Type
✓N
DRAINAGE PIPING
WALL SQ. FT. @
Dbl f
Bond Amt.
fQ
DRINKING FOUNTAIN
Plo heckcrr /
/i / y
Final to
URINAL
SQ. FT. @
Unit
Sp. Insp. Fee f
Demol. Fee
ESTIMATED CONSTRUCTION VALUATION $ 30 4z 8 ba
Const. Lender Branch
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Address Z'p
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Owner/Agent /
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Zip
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Address �j +�
% rzd_ +Y �
V
City
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Received by
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Sewage System
APa
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL. -
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
I
PERMIT NO.
369342
Job Address Space
n zee'v /j�c-/'e -4
Zip
a�
Owner
,� ai,a5
Community
� (:YAT//L%%i�
Valuation
$
Date
Dist.
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop f
Use of Permit
` 4 /* �1-mr1 6.`r
Parcel No. �+.
�� % �...7p �f
Use/Cose No.
[Ck..
By`
��.i
Mech. Fee Dbl f
Pi. Ck. Fee f
Set Backs
Lot Sizes,��
Construction Fee Dbl f
Legal Description F
/ !'� j��� f v;tC;r i
!�• 7 4i„`
� S S
R j J
Electrical Fee Dbl f
Zone Restrictions
AV
Group
./13'
Type
✓N
SMI Fee f
Plumbing Fee
Dbl f
Bond Amt.
fQ
Plan No. 2�.
`
Plo heckcrr /
/i / y
Final to
Inspector
Unit
Sp. Insp. Fee f
Demol. Fee
$
Const. Lender Branch
Supplimental
Permit Numbers
Regisir. Fee f
Mileage Fee f
Address Z'p
Witness Fee $
Reinsp. Fee
f
Owner/Agent /
Tel.
Zip
Total Fees
f
Address �j +�
% rzd_ +Y �
V
City
.,�Zip
/ .,J1 ` /A 4NC S
M.O. N.C. Cash heck
Received by
Contractor
Tel.
LicenseN
Trees required
Sewage System
APa
CoY3.;2
Address -
City
Zip
I T LL P
Sewer District
Form 284.208 (Rev.8/78) 0s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH T}IIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WMO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.